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Vermilionectomy using the W-plasty technique
J M Fernandez Vozmediano1, M A Romero Cabrera, A Carrascosa Cerquero
1Department of Medical-Surgical Dermatology, University Hospital, Cadiz, Spain.
Abstract:
We describe a variation of the conventional vermilionectomy consisting of incisions using the W-plasty technique, which allows a more distensible scar with better cosmetic and functional results. Its primary indications are actinic cheilitis and leukoplakia of the lower lip. It is a more complicated technique than the classic one, and requires a larger loss of skin, but the benefits largely outweigh the drawbacks.